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kizrr v r 'CI P) g) • 813 - 780 -0o2& • City of Zephyrhills Permit Application N"i 1(01 Fax- 813- 780 -0021 Building Department tt �� Date Received / /) - (t- ( m 2 Q Q76 -- 73 7 V ( Phone Contact for Per itting - r- r- r- rr�-i -r 1 -ri -7 Owner's Name 14 '4 Cgvv)4 TSihl L /(74 Owner Phone Number 70 y- 37y- V12-4( Owner's Address Vd4 )(16Zi16, j( ,e /1(C eFj„Y( -624/6 Owner Phone Number Fee Simple Titleholder Name 5.41-1.e- Owner Phone Number I I Fee Simple Titleholder Address I -sA J../ JOB ADDRESS S i' 6 t S t > 2 "i�.�/,'%/ L-C ? 7752 4' LOT # / f -Z y , SUBDIVISION rain? r) ?EP/I'/e/eel PARCEL ID# 1ll 14 -2-/ - CO /O —/5 Yap - O /QO (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 1 NEW CONSTR _ ADD /ALT r.�i SIGN I I I I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR ri COMM 1 I OTHER I TYPE OF CONSTRUCTION BLOCK ni FRAME I 1 STEEL I I 1 I DESCRIPTION OF WORK Si67141.;wi7 ;1"/ ��. 6 /� i 4 s ., #R � MAA��/ 2, t' L L ir e BUILDING SIZE SQ FOOTAGE I z4 7C I HEIGHT I /, { % 1 1 (BUILDING $ �� d0 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL I$ I AMP SERVICE I I PROGRESS ENERGY pi W. R. E.C. I 'PLUMBING $ nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION • I (GAS • FT ROOFING a SPECIALTY I ' OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ( NO BUILDER COMPANY 1 I SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y / N Address ,. ° License # 1 A F � ELECTRICIAN al " 0 JI I COMPANY P1 G1 M a ( rU _roc_ C _ SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y N Address 3 /OS 1C7 au) v ., 2tD (', •4 0, 334/,' License I # I L C Do 3 /S PLUMBER COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address License # I MECHANICAL COMPANY I I SIGNATURE REGISTERED ( Y/ N I FEE CURREN I Y/ N I Address 1 , r License # 1 I SIGNATURE 11 COMPANY V S S t �o d I)`, LL (`i 1 REGISTERED 1 Y/ N I FEE CURREN I Y / N 1 Address y fl* ) t D Pk / 7Mt y,z ! r C� E (aC (91(1& ' I License # I C� .? 2 I 111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for ail new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. *** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) "" Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW